U.S. patent number 3,705,580 [Application Number 05/163,780] was granted by the patent office on 1972-12-12 for device for medical use.
Invention is credited to Oscar Gauthier.
United States Patent |
3,705,580 |
Gauthier |
December 12, 1972 |
DEVICE FOR MEDICAL USE
Abstract
A device operating as a tourniquet for assisting erection of the
penis and used as a contraceptive by stopping semen discharge. The
device can also be modified to be used as an artificial anus. The
device comprises an armature made of steel wire and a covering for
said armature preferably made of sponge rubber. The armature
comprises a base ring to which are pivotally connected a plurality
of U-shaped members disposed side by side, overlapping and
pivotable between closed and open position. In the closed position,
the U-shaped members radially inwardly extend from the base ring
substantially in the plane of the latter. In the open position, the
U-shaped members form a tube-like member on one side of the ring.
Spring means consisting of V-shaped resilient wires are each
connected with a pair of adjacent U-shaped members and urge the
same towards each other, so as to urge the U-shaped members into
closed position. When used as an artificial anus, the sponge rubber
covering completely closes the opening through the ring but
pressure exerted from one side opens the device against the action
of the spring members. When used as a tourniquet, the device is
further provided with a second ring, of smaller diameter than the
base ring and coaxial therewith; said second ring engages the
U-shaped members to cause simultaneous opening movement of the same
when the second ring is moved through the base ring under action of
lever-like operator members which are pivoted on the base ring.
Inventors: |
Gauthier; Oscar (Ville de
Brossard, Quebec, CA) |
Family
ID: |
22591535 |
Appl.
No.: |
05/163,780 |
Filed: |
July 19, 1971 |
Current U.S.
Class: |
600/41;
128/DIG.25 |
Current CPC
Class: |
A61F
5/41 (20130101); A61F 2005/414 (20130101); Y10S
128/25 (20130101) |
Current International
Class: |
A61F
5/41 (20060101); A61f 005/00 () |
Field of
Search: |
;128/327,346,79,1R
;3/1 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; Lawrence W.
Claims
I claim:
1. A device for medical use comprising a ring, a plurality of
U-shaped members each having a bight portion and two legs, the
outer ends of the legs pivoted to said ring, said U-shaped members
disposed side by side and pivotable between a closed position
radially inwardly extending from said ring substantially in the
plane of the latter, and an open position inclined to said plane
with all of said U-shaped members forming a substantially tubular
member and spring means acting on said U-shaped members to urge the
same into one of said positions.
2. A device as claimed in claim 1, wherein said spring members are
carried by said U-shaped members and exert a force in the plane of
said U-shaped members and transverse to said legs to bring said
U-shaped members closer to one another and, consequently, urge said
U-shaped members into closing position.
3. A device as claimed in claim 2, wherein said spring means
include as many individual V-shaped springs as there are U-shaped
members, each defining an apex and two limbs, the ends of the limbs
attached to one leg of two adjacent U-shaped members, the limbs of
said V-shaped spring members being stressed away from each other
from their normal unstressed position.
4. A device as claimed in claim 1, wherein a leg of at least one
adjacent U-shaped member is pivoted to said ring intermediate the
two legs of any given U-shaped member, so that all the U-shaped
members overlap one another.
5. A device as claimed in claim 4, wherein in the closed position
of said U-shaped members, the bight portions of said U-shaped
members overlap one another so as to form a continuous edge portion
at the radially inner end of said closed U-shaped members.
6. A device as claimed in claim 5, wherein each U-shaped member and
each spring is made of spring wire and one leg of each U-shaped
members is formed into a loop intermediate its ends, the ends of
the V-shaped spring members being bent and engaging said loops, the
V-shaped spring members extending in a plane substantially parallel
to the plane of the U-shaped members with the apex away from said
base ring.
7. A device as claimed in claim 2, further including means to open
said U-shaped members substantially simultaneously, said means
comprising a fulcrum ring of smaller diameter than said base ring,
connector means between said fulcrum ring and said base ring,
affording a lost movement linkage between said two rings, said
connector means maintaining said fulcrum ring substantially coaxial
with said base ring and in a plane substantially parallel to the
plane of said base ring and on the same side of said U-shaped
member, and handle means rigid with said connector means to pivot
said connector means about said base ring and force said fulcrum
ring through said base ring to cause simultaneous pivotal movement
of said U-shaped members against the action of said spring
members.
8. A device as claimed in claim 7, wherein said connector means
consists of elongated loops surrounding the two rings and radially
directed, said elongated loops in the closed position of said
U-shaped members acting as a stop against further separation of
said two rings and maintaining said rings against the back of said
U-shaped members to form a stop to prevent opening pivoting
movement of said U-shaped members in a direction opposite to their
normal opening movement.
9. A device as claimed in claim 8, wherein in the open position of
said U-shaped members said fulcrum ring is axially spaced from said
base ring and is sufficiently closed to the points of connections
of said spring members to said U-shaped members, so that the spring
action of said spring members is unsufficient to overcome the
friction between said fulcrum ring and said U-shaped members,
whereby said U-shaped members are maintained in open position by
said fulcrum ring.
10. A device as claimed in claim 9, wherein each leg of each
U-shaped member forms a shoulder close to its pivotal connection to
said base ring engageable by said fulcrum ring in the open position
of said U-shaped members to maintain said fulcrum ring in
substantially a plane parallel to said base ring and thereby to
obtain uniform opening of said U-shaped members.
Description
The present invention relates to a device for medical use. One main
application of the device is for use as a tourniquet to assist in
penis erection. It is designed as an annular member adapted to
surround the base of the penis and exert uniform compression
thereon. The device has the additional advantage of substantially
preventing ejaculation and, therefore, is effective as a
contraceptive, especially when modified to pinch and block the
canal deferens.
Another use of the device with suitable modification is an an
artificial anus, in which case it operates as a spring-loaded
normally closed valve to replace the sphincter and intended to be
grafted in position of the normal anus of people which have been
operated for choleostomy.
The device is of simple and relatively inexpensive construction, is
of long service and, when used as a tourniquet, it can be easily
manipulated between open and closed position.
The foregoing will become more apparent during the following
disclosure and by referring to the drawings, in which:
FIG. 1 is a front elevation of the device in accordance with the
first embodiment when used as a tourniquet and shown in closed
position;
FIG. 2 is a side elevation of the first embodiment in partially
closed position;
FIG. 3 is a side elevation of the device in open position;
FIG. 4 is a back elevation of the device in open position;
FIG. 5 is a cross-section along line 5--5 of FIG. 1;
FIG. 6 is a cross-section along line 6--6 of FIG. 4 and showing the
covering partly removed to show the inside armature;
FIG. 7 is a partial cross-section of the armature on an enlarged
scale in the closed position;
FIG. 8 is a similar partial cross-section in open position;
FIG. 9 is a top plan view of one U-shaped member;
FIG. 10 is a plan view of one V-shaped spring;
FIG. 11 is a partial plan view of the armature in closed
position;
FIG. 12 is a front elevation of a second embodiment of the
invention used as an artificial anus;
FIG. 13 is a side elevation of the embodiment of FIG. 12; and
FIG. 14 is a cross-section, on an enlarged scale, taken along line
14--14 of FIG. 12.
In the drawings, like reference characters indicate like elements
throughout.
The closure device A in accordance with the first embodiment is of
generally circular shape and is composed of an armature generally
indicated at 1 and shown in FIGS. 5 to 11 and a covering 2
completely enclosing the armature 1 and made of flexible material,
preferably sponge rubber or the like, to act as a cushion and
capable of flexing so that the armature may be closed and opened.
Covering 2 preferably consists of a double wall annular member. The
device in closed position defines a small size central opening 3,
as shown in FIG. 1, which is mainly circular but preferably
provided with a boss 4. In the open position of the device, as
shown in FIG. 4, the central opening 3 is enlarged to at least
twice its closed size, boss 4 being correspondingly extended. In
the closed position of the device, the central web 5 of the
covering extends substantially in a radial plane while it forms a
substantially tubular member in the open position of the device, as
shown in FIG. 3. The tubular member is generally frusto-conical in
shape, although it could be completely cylindrical.
The armature 1 comprises a rigid base ring 6, shown in FIGS. 5 to 8
and 11, and made of wire. A plurality of U-shaped members 7 are
pivotally connected to base ring 6. Each U-shaped member is made of
a steel wire, such as piano wire, has a bight portion 8 with two
slightly diverging legs 9 and 10 bent at their outer ends to form a
loop 11 freely surrounding the base ring 6. Furthermore, one leg,
for instance leg 10 of each U-shaped member 7, is bent into a loop
12 intermediate the ends of the leg for receiving the ends of
spring members, generally indicated at 13, which urge the U-shaped
members 7 into closed position.
As shown in FIG. 10, each spring member 13 is of generally V-shape,
its straight legs having inturned end portions 14 and its apex bent
to form one or more spires 15 to provide sufficient elasticity to
the spring. There are as many spring members 13 as there are
U-shaped members 7 and the end portions 14 of each spring member
engage the intermediate loop 12 of two adjacent U-shaped members,
each loop 12 receiving the end portions 14 of two adjacent spring
members with the end portions 14 inserted from opposite sides of
the loop 12. The spring members 13 are preferably disposed on the
outside of the U-shaped members 7 when the latter are seen in open
position and spires 15 are close to bights 8. The spring members 13
extend in substantially a plane parallel to the plane of the
associated U-shaped member and urge the U-shaped members laterally
one towards the other. Thus, they urge the U-shaped member into
closed position. Each U-shaped member 7 overlaps the adjacent
U-shaped member, as clearly shown in FIG. 11. In the closed
position of the U-shaped members, the overlap is a maximum, the
bight portions 8 over-lapping each other. In the open position of
the U-shaped members 7, as shown in FIG. 6, the overlap is a
minimum, the legs 9, 10 overlapping each other. In order to obtain
this overlap, one or more legs of adjacent U-shaped members 7 are
pivoted to the base ring 6 intermediate the two legs 9 and 10 of
any given U-shaped member 7, as clearly shown in FIG. 11.
The degree of overlap of the U-shaped members may be made greater
or larger so as to preferably maintain a substantially continuous
inner ring formed by the bight portions 8, not only in the fully
closed position of the U-shaped members but also in partially open
position of the same.
The continuous expandable ring formed by the bight portions 8 may
be completely circular or may have another shape, depending on
whether identical U-shaped members are provided or whether some of
the U-shaped members have a special form. The members 7 of FIG. 11
provided along all the periphery of the base ring 6 would provide a
circular inner ring made of bight sections 8. However, this figure
shows some specially shaped U-shaped members 7' for defining the
boss 4 apparent in the covering 2, as shown in FIGS. 4 and 1. The
U-shaped members 7' are progressively of longer length with
progressively inclined bight portion 8' on each side of the center
of boss 4 starting from the regular shaped members 7. They overlap
in the same manner as members 7 and are pivotally connected to the
base ring 6 in the same manner.
The spring members 13 resiliently maintain each U-shaped member 7
and 7' in a radial plane in which the members 7, 7' extend radially
inwardly from the base ring 6 and are substantially in the plane of
said base ring 6. Means are provided to open the device against the
action of spring members 13 and to keep the device in open
position.
Said means comprises a fulcrum ring 16, of rigid wire material and
of smaller diameter than base ring 6, such that the fulcrum ring 16
may freely pass through the base ring 6. The fulcrum ring 16
extends on one side of the U-shaped members 7 and bear against the
same, being supported in coaxial position with base ring 6 by means
of connector members formed by elongated loops 17 freely
surrounding the two base rings and extending radially thereof, the
elongated loops 17 being connected two by two by a bow-shaped
operator member 18, which forms a single length of wire with the
loops 17, the latter being formed by bending the two ends of the
wire to form the two loops 17. The members 17,18 serve as lever for
pushing the fulcrum ring 16 through the base ring 6 against the
action of the spring members 13.
Referring to FIGS. 7 and 8, in the closed position of U-shaped
members 7, the operator members 18 extend at an angle to the plane
of the base rings in a direction radially outwardly opposite the
position of the fulcrum ring 16. The latter abuts the ends of loops
17 and is therefore stopped in a position where it prevents opening
of U-shaped members 7 in the wrong direction. Pressure exerted on
the bow-shaped members 18 in a direction to pivot the elongated
loops 17 in the direction of arrow 19 causes axial movement of the
fulcrum ring 16 through the base ring 6 to extend on the opposite
side, thereby pivoting the U-shaped members 7 outwardly, as shown
in FIG. 8. During this movement, the fulcrum ring 16 is free to
move within the elongated loop 17, as these loops describe an
arcuate movement while the ring moves in a straight direction.
The U-shaped members are kept in open position because the fulcrum
ring 16 on which rest the U-shaped member 7 is sufficiently spaced
from the base ring 6 and sufficiently closed to the loops 12, which
are the point of attachment of the spring members 13, such that the
springs 13 are no longer able to overcome the friction between the
several U-shaped members 7 and the fulcrum ring 16 and thus are
unable to move the fulcrum ring 16 back through the base ring. This
is assisted by the fact that each leg of each U-shaped member 7 is
bent at 19, so as to form a shoulder bearing against the fulcrum
ring in the open position of the device and which maintains the
ring in its device opening position in a positive manner. These
shoulders also maintain the fulcrum ring in a plane substantially
parallel to the base ring, so that all of the U-shaped members are
in uniform open position.
Pressure exerted on the bow-shaped members 18, at least two of them
at diametrically spaced points of the base ring while holding the
base ring, in a direction to pivot the loops 17 in a direction
contrary to arrow 19, force the fulcrum ring 16 upwardly through
the base ring, as seen in FIG. 8, until a point where spring
members 13 take over and resiliently force the U-shaped members 7
into closed position.
Referring to FIG. 3, it is shown that pressure of the fingers on
the two rings, so as to force the fulcrum ring through the base
ring in the direction indicated by arrows 21, will cause opening of
the device, while pressure exerted in the opposite direction will
cause closing of the device. With the device surrounding a member
to be compressed, the springs 13 exert uniform pressure all around
the member in a plurality of inclined position of U-shaped member 7
with respect to the plane of the base ring. Thus, the tourniquet is
able to compress members of different diameters.
The device, when surrounding the base of the penis indicated at 22
in dotted line in FIGS. 2 and 4 and when folded thereover with the
boss 4 positioned opposite the urethra, will effectively compress
the penis and block the urethra 22' when closed over the same. This
has been found to facilitate erection especially amongst men
affected with erection difficulties, and also because it blocks the
urethra, provides an effective contraceptive.
The covering 2 is preferably made of sponge rubber to provide a
cushioning effect and completely surrounds the armature to form an
annular member; obviously, the armature is free to move between
open and closed position within covering 2.
The device slightly modified can be used as an artificial anus to
be grafted in the rectum zone of a patient who had been operated
for choleostomy for replacing the sphincter ani. Such an artificial
anus is shown in FIGS. 12 to 14. The rubber covering 23, when the
device is in closed position, completely closes the central opening
24. This central opening is of circular shape but may be of
elongated shape, as shown in FIG. 12. The periphery of the covering
23 is adapted to be grafted.
An armature 25 is entirely embedded within the covering 23. The
armature 25 is substantially of the same construction as in the
previous embodiment, except that it does not require any fulcrum
ring 16 and bow-shaped members 18 with their elongated loops 17.
Also, the U-shaped members 26 are all identical and have the same
shape as U-shaped members 7, as shown in FIG. 9, and mounted in the
same manner on the base ring 27. Each U-shaped member 26 has an
intermediate loop 28 intermediate the ends of one of its legs as
loop 12 for receiving the ends of V-shaped spring members 13, as in
the previous embodiment.
With this system, the springs maintain the loops 26 in closed
position in a resilient manner but allow opening of the device in
either direction with respect to the base ring 27, as shown in
dotted line in FIG. 14. The marginal edge of covering 23 defining
the central opening 24 can be thickened to provide a better
closure.
* * * * *